SCHOOL-BASED MULTIETHNIC OBESITY PREVENTIVE INTERVENTION

以学校为基础的多民族肥胖预防干预

• 批准号: 2025474
• 负责人: STEVEN L GORTMAKER
• 金额: $ 49.33万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-12-01 至 1998-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2025474
• 关键词: adolescence (12-20); computer data analysis; dietary constituent; dietary control; dietary lipid; disease /disorder prevention /control; ethnic group; exercise; fruit; health education; human subject; longitudinal human study; nutrition related tag; obesity; physical fitness; questionnaires; secondary schools; vegetables

This project will develop, implement and evaluate a school-based intervention program which prevents obesity among adolescents aged 11-13 by reducing inactivity, increasing vigorous and moderate physical activity and improving dietary behavior to reduce intake of high fat foods and increase intake of fruits and vegetables. A secondary intervention target is improved knowledge related to inactivity, activity and diet. The focus on reducing inactivity and increasing both moderate and vigorous activity in combination with dietary changes in order to prevent obesity is new, and will address key national objectives for the Year 2000 related to nutrition, activity, and obesity. Schools comprised of children from ethnic groups at risk of obesity will serve as the base for implementing and evaluating interventions among 750 intervention subjects and 750 control subjects over two years, utilizing a quasi- experimental design. Differences in the prevalence of obesity will be assessed through Body Mass Index and triceps skinfold, changes in activity and dietary intake using the Youth Activity and Food Frequency Questionnaires. A process evaluation will document the extent to which environmental changes in school food service and activity resources were implemented. The classroom curriculum consists of 20 lessons of 45 minutes duration which will be given in each of two school years, and represents athematic unit taught in social studies, language arts, math and science classes. The physical education component includes the Physical Best testing materials, topics and activities for the instructor, and a fitness folder which records tests, student activity and inactivity assessments, and goals that students set in consultation with a peer-partner. Classroom activities will be complemented by teacher participation in design and implementation of the intervention, alteration of school food service choices, and participation of school and community activity resources. The programs will be replicable and sustainable, employing low cost curricula in current use in public schools and implementation strategies that tailor intervention materials and activities to existing school personnel. A ten-member Advisory Board for the project includes scientific and professional experts in the epidemiology of obesity, measurement of diet and activity, and the implementation and evaluation of school-based interventions; as well as representatives of the state departments of public health and education that administer and regulate school health and food service activities. The School-Based Obesity Preventive Intervention will result in a program ready for dissemination through public school systems in collaboration with state departments of health and education, and include a package of curricula with documented implementation strategies to tailor the intervention to ethnic composition and health and activity resources of schools and classrooms.

该项目将开发、实施和评估基于学校的 预防 11-13 岁青少年肥胖的干预计划 通过减少不活动、增加剧烈和适度的体力活动 活动和改善饮食行为，以减少高脂肪的摄入 食物，并增加水果和蔬菜的摄入量。 二级 干预目标是提高与不活动、活动相关的知识 和饮食。 重点是减少不活动并增加适度活动 剧烈活动并结合饮食改变，以 预防肥胖是一项新举措，将实现以下目标： 2000 年与营养、活动和肥胖有关。 学校组成 来自有肥胖风险的族裔群体的儿童将作为基础 用于实施和评估 750 项干预措施中的干预措施 两年内使用准对象和 750 名对照对象 实验设计。 肥胖患病率的差异 通过体重指数和三头肌皮褶评估，变化 使用青年活动和食物频率的活动和饮食摄入量 问卷调查。 过程评估将记录以下程度： 学校餐饮服务和活动资源的环境变化 实施的。 课堂课程包括 20 节课，共 45 节课 每两个学年的持续时间分钟数，以及 代表社会研究、语言艺术、数学中教授的数学单元 和科学课。 体育部分包括 物理 最佳测试材料、主题和活动 教练，以及记录测试、学生活动的健身文件夹 和不活动评估以及学生协商设定的目标 与同伴合作。 课堂活动将得到补充 教师参与干预措施的设计和实施， 学校餐饮服务选择的改变和学校的参与 和社区活动资源。 这些计划将是可复制的 可持续的、采用目前公共使用的低成本课程 学校和定制干预材料的实施策略 以及现有学校人员的活动。 十人顾问委员会 该项目包括科学和专业专家 肥胖的流行病学、饮食和活动的测量以及 校本干预措施的实施和评估；也 国家公共卫生和教育部门的代表 管理和规范学校健康和食品服务活动。 以学校为基础的肥胖预防干预将产生一个计划 准备好通过公立学校系统合作传播 与州卫生和教育部门合作，并包括一揽子计划 课程包含有记录的实施策略，以定制 对民族构成以及健康和活动资源的干预 学校和教室。

项目成果

School-based programs: lessons learned from CATCH, Planet Health, and Not-On-Tobacco.

校本计划：从 CATCH、地球健康和非烟草中汲取的经验教训。

• 发表时间: 2007
• 期刊: Preventing chronic disease
• 影响因子: 5.5
• 作者: Franks,Adele;Kelder,StevenH;Dino,GeriA;Horn,KimberlyA;Gortmaker,StevenL;Wiecha,JeanL;Simoes,EduardoJ
• 通讯作者: Simoes,EduardoJ